2825 h0. - EET LOT No.
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0 ' JUL 201964 ITY OF CUPERTINO
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° �� LJ��Zi -41i1CDTiNVI , / Permit No.
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Z N Application is hereby made to the City of Cupertino for a permit to install electrical
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awiring and/or fixtures as listed on the reverse side hereof, and agrees t ' install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
50 City of Cupertino, and/fall other laws applicable.thereto.
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z� Use of Premises—fes
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3 a Owner �rl,Ds._L�.. , Address PD Veq rn.� ez&
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f CONTRACTOR, GENT
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Phone: 9�.� '/>/33 ELECTRICAL ff"FECL03
State License: /70 '
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